Southwest Behavioral Health Services

DOCTORAL PSYCHOLOGY INTERNSHIP

2016-2017PROGRAM BROCHURE

American Psychological Association approved Doctoral Psychology Internship Program

Southwest Behavioral Health Services

3450 N. Third Street

Phoenix, AZ 85012

Training Director, Dr. Lynette Small

Address questions regarding APA accreditation to:

American Psychological Association

Office of Program Consultation and Accreditation

750 First Street NE

Washington, DC 20002-4242

Phone: 202-336-5979

Contents

INtroduction...... 4

Southwest Behavioral Health Services

Training Institute

Equal Opportunity Employer

DOCTORAL PSYCHOLOGY Internship

Practitioner-Scholar Philosophy

Internship Program

Description of Internship Tracks

Contact hours

Direct Contact

Indirect Contact

Core Competencies

Evaluation of Competencies

Didactic Training

Colloquia Series

Additional Training Seminars

Supervision

Evaluation Process

Remediation

Professional Conduct

Grievance and Appeal Process

Informal Consultation and Resolution

Formal Review Process

CERTIFICATE OF INTERNSHIP COMPLETION

FINANCIAL SUPPORT AND BENEFITS

APPLICATION INFORMATION

Eligibility

Application Process

Notification

Interviews

Pre-employment Requirements

DOCOTRAL TRAINING FACULTY

Appendix A: Past Presenters and Topics

INTRODUCTION

Southwest Behavioral Health Services

Southwest Behavioral Health Services (SBH) is Arizona’s largest provider of publicly funded behavioral health services. SBH was established in 1969 as a federally funded program under a partnership known as St. Luke’s-Jane Wayland Community Mental Health Center.In 1974, it was incorporated as a nonprofit organization known as Phoenix South.In 1995, the name officially changed to Southwest Behavioral Health Services (SBH) when Phoenix South merged with Community Behavioral Health, thus making SBH the largest community-based behavioral-health provider in Arizona. As the demand for mental health services increased, SBH has blossomed into a region-wide provider of services with clinics and programs in Mesa, Buckeye, Bullhead City, Kingman, Apache Junction, Flagstaff, Prescott, Payson, and multiple sites in Phoenix, Arizona. In 2015, the organization underwent another name change, adding “&” between Behavioral and Health to reflect the developing focus on integrated care thus making the name Southwest Behavioral & Health Services.

SBH’s range of services includes adult outpatient clinics, adolescent/children outpatient services, community living programs, in-home services, substance abuse programs, prevention programs, and crisis recovery services.The Commission on Accreditation of Rehabilitation Facilities (CARF) accredits many of SBH’s programs.

In all areas of service, SBH supports the belief that all individuals possess personal strengths, interests, and desires, and are able to live fulfilling and rewarding lives.The agency uses The Partners for Change Outcome Management System (PCOMS) and all Doctoral Psychology Interns will receive training and become adept at utilizing these skills in service delivery. Thus, SBH espouses a strengths-based, community-integrated approach to treatment.

Training Institute

The Southwest Behavioral Health Training Institute (TI) ensures that clinical training is provided that addresses current licensing requirements and topics of clinical interest.As such, it provides on-going training for clinicians in community mental health in clinical assessment, treatment planning, and documentation. In addition, the TI is also an APA-approved sponsor for CE credits for its monthly lecture series for psychologists and other behavioral health professionals. The Training Institute supports practicum training for students in both masters and doctoral programs in counseling, social work, and psychology, as well as doctoral internships for students in doctoral psychology programs.

Equal Opportunity Employer

SBH is an equal opportunity employer.Selections for the Doctoral Psychology Intern positions are made without discrimination for any non-merit reason, including, but not limited to, age, race, color, religion, physical disabilities, national origin, political affiliation, gender, sexual orientation, and marital status.

Reasonable accommodations in facilities and work expectations will be made for individuals with limitations if the individual would be able to perform the job satisfactorily given appropriate accommodations.If an applicant requires special accommodations in order to complete the application/interview process, he or she should contact the Administrator of Clinical Education, Lynette Small, PsyD via email at

DOCTORAL PSYCHOLOGY Internship

The SBH Training Institute’s Doctoral Psychology Internship program is committed to developing well-rounded psychologists who have an interest in public behavioral health. The practitioner-scholar model is used throughout the training program. On-site experience in clinics and programs is balanced by weekly colloquia and intern meetings that provide a venue to discuss research, evaluate evidence-based treatment, analyze how client-informed approach directs treatment, participate in case discussions, and meet with psychologists from the community to learn about their areas of specialty. Collectively these activities provide interns opportunities for meaningful exchange of ideas on topics of relevance for psychologists and deepen their understanding of psychology as a profession.

The SBH Chief of Clinical Services and Training, Bob Bohanske, PhD, is the program’s Chief Psychologist.He oversees the training of Doctoral Psychology Interns and mediates any disputes or problems that may arise during an Intern’s tenure with SBH. Lynette Small, PsyD is the internship program’s Training Director. Her primary responsibility is to ensure that interns’ training needs are being met.She provides individual supervision, group supervision, coordinates the colloquia series, and performs other administrative and oversight activities to ensure smooth operation of the APA approved/APPIC-member internship program.Wendy Bunn, PsyD, Diana Milner, PhD, and Anniken Pettersen, PsyD,provide direct supervision to the Doctoral Psychology Interns as well.

Practitioner-Scholar Philosophy

Southwest Behavioral & Health Psychology Internship program espouses the philosophy of the Practitioner-Scholar model of training which grew out of the conference on Professional Training in Psychology held in Vail, CO in 1973. The program seeks to continue the clinical training the intern began through previous field placements and practica. At the heart of this model is the development and honing of clinical skills required of professional psychologists, including clinical interviewing, client advocacy, treatment planning, and therapeutic interventions, as well as consultation and community outreach.Well-rounded professional psychologists also need to be adequately versed in advancements in research and practice standards.Group supervision with the Training Director is held weekly for staffing cases, discussion of current research, ethical issues of professional psychology, and standards of practice. Interns are asked to lead discussions on research published in peer-review journals.The weekly colloquium, another forum for didactic learning, includes case discussions, standards of practice discussions, and meetings with professional psychologists from the community.

Internship Program

Internship is the year that bridges the space between being a student of psychology and being identified as a professional psychologist. As such, the program is designed to meet the increasing skill level of the intern.At the start of the internship, all interns will participate in the agency New Employee Orientation (NEO) to acclimate them to the agency.Clinical Week encompasses the second week of the internship year, training interns on various clinical activities such as the Initial Engagement Session, service planning, safety support planning and PCOMS.

Primary supervisors are the supervising psychologists.They practice from a developmental model of supervision. Thus, supervision in the initial months of internship is more directive, allowing interns to gain skills needed to be successful. Directive supervision, for example, may take the form of helping interns analyze clinical data to develop a diagnostic impression; it may take the form of recommending and modeling or teaching a specific intervention. As the intern gains confidence inhis or her clinical skills, supervision typically shifts to having the intern analyze case data, formulate diagnoses, and review the effectiveness of his or her intervention strategies.

The program requires 2000 hours spread over 52 weeksto complete.The internship program encompasses on-site training, group and individual supervision, and didactic experiences designed to meet Arizona licensure requirements and to ensure that Doctoral Psychology Interns gain skills in basic competencies as described below. Licensure requirements vary from state-to-state, so prospective interns are encouraged to be knowledgeable regarding the requirements of other states.

SBH offers a variety of year-long (52 week) internship positions described below. All internship positions for training year 2017-2018begin Monday September 11th, 2017. Doctoral Psychology Interns are expected to make a full-time commitment to their training and respect the schedule they develop with their supervisor to ensure that they meet their training requirements of 2000 hours.The internship year is a rigorous experience and requires the intern to be fully present and open to all that this year has to offer in terms of skill development, training and supervision. As such additional employment outside of the internship is not encouraged as it contributes to burn out, reduces the opportunity for interns to engage in self-care, fosters difficulty for interns to fully commit to the internship training year, and at times a presents a conflict in priorities.

Description of Internship Tracks

Crisis Recovery Unit Inpatient Program (NMS #203514)

The CRU 1 and CRU 2 are 24-hour, Level One, secured facilities located in Phoenix. Persons admitted to the CRU programs are typically considered danger to self or others and are unable to function in the community. The CRU programs provide behavioral health interventions for individuals experiencing a behavioral health crisis who require a structured, non-hospital setting. Services are designed to build upon the client’s strengths while working to minimize escalation of behaviors that will lead to a more restrictive setting. Average length of stay at a CRU is 3-5 days.

At the CRU, Doctoral Psychology Interns are part of a multidisciplinary team consisting of prescribers, nurses, and behavioral health technicians. They will have opportunities to assess and treat adults manifesting a variety of psychiatric symptoms and diagnoses. Interns will gain proficiency in working with individuals as they work to resolve mental health crises. Daily group and individual therapy sessions are offered.

Opioid Replacement Services Program

Phoenix (NMS #203515)

Prescott Valley (NMS #203518)

Theseoutpatient programs provide behavioral health and substance abuse services for adults who are either voluntarily or through court order seeking to address their concerns.The clinics are situated in both Phoenix and Prescott Valley, Arizona. The program builds on client strengths and natural supports. Services are designed to assist adults in achieving optimal functioning in their personal lives and in their communities.Specific services offered in both programs are intensive group and individual therapy, case management, and psychiatric medication services.

The Methadone Maintenance and Suboxone Treatment program also provides medication assisted treatment services to persons addicted to opioids. Doctoral Psychology Interns will gain proficiency in performing intake assessments, and facilitating group and individual therapy sessions with this population.As part of a multidisciplinary team, Interns will also engage in treatment planning and programming with a team approach.

Recovery College/ Community LivingProgram (NMS #203516)

SBH has 29 community living sites in the Phoenix metropolitan area that provide housing and therapeutic activities to adults. Some clients also receive individual counseling services in their own homes. The Intern in this position becomes part of the treatment team in SBH’s community living and in-home program and provides a combination of group and individual therapy, depending on the setting.

A key component of this placement is assisting adults with community integration. As such, the intern engages clients in community-based activities. The Intern in this position must be able to drive the company van.Interns will gain proficiency in working with voluntary and court ordered adults, addressing substance abuse issues, assessing and treating adults manifesting a variety of psychiatric symptoms, and navigating systems within Maricopa County to increase client supports and resources. Coordination of care and client advocacy is a key component in this track. As part of a multidisciplinary team, interns will engage in treatment planning and programming with a team approach. The intern may also have opportunities to provide input on program development and to facilitate training and supervision to direct care staff.

Outpatient Clinic- Adults and Children

Maricopa County (NMS #203513)

Northern Arizona (NMS #203517)

The Outpatient Clinics are dynamic sites whose clients reside in various parts of central and northern Arizona, situated in both urban and rural settings. Clientele encompass a broad spectrum of psychological symptoms and diagnoses ranging from schizophrenia to adjustment disorders and substance abuse. The Doctoral Psychology Intern provides initial engagement sessions,individual and group counseling with adults and children as well as families and case management. The intern works as part of a treatment team that includes the program director, case managers, clinicians, family coaches, and prescribers.

School and Community Based Counseling Services (SCCS) (NMS #203519)

The School and Community-Based Counseling Services (SCCS) program provides comprehensive behavioral health services to youth and their families in school and community settings. These services span a continuum of care ranging from prevention services through individualized behavioral health interventions. Through partnerships with schools and communities, SCCS is able to meet children where they are.All SCCS behavioral health services are developed in collaboration with the youth and family and are created to be flexible and adjustable as the youth and family progress and grow. Through the counseling services SCCS provides, there is a dynamic shift occurring from a disempowered family to one that no longer struggles, one that that really understands how to work with their children, how to talk with their children and how to advocate for their children in variety of ways. For those children who do have counseling needs, the Doctoral Psychology Intern is able to help them grow and develop personally and emotionally in order to go back into the classroom to learn, form healthy relationships with others and have the self-confidence they need to go out into the world.

Additional Clinical Skills Development via the CRU Program

To facilitate development of well-rounded psychologists for community mental health, all Doctoral Psychology Interns, regardless of their internship position within the agency, will have an opportunity to work at the Crisis Recovery Unit.The Crisis Recovery Unit, as indicated above, is a 24-hour Level One, secured facility for individuals experiencing a mental health crisis in which they are a danger to themselves or others and require a higher level of care.

Contact hours

Direct Contact

Doctoral Psychology Interns will spend a minimum of 35 percent of their internship in direct contact with clients.Because the training programs provide daily services to many clients, direct contact hours are more likely to account for approximately 50-60 percentor more of the intern’s time. Direct contact typically takes the form of:

performing Initial Engagement Sessions (IES)
facilitating groups
conducting individual therapy
participating in treatment team meetings and case staffings with the client present
conducting psychological test batteries for diagnostic and treatment evaluations, depending on the site (not a major source of direct contact, but occasional opportunities for a battery to be performed does arise, particularly in Flagstaff and Prescott Valley)

Indirect Contact

Doctoral Psychology Interns should expect to spend approximately 50 percent of their time in indirect contact hours.This time is divided between the supervision and didactic training portions of the internship and meeting the administrative and clinical demands of working in a community-based mental health system.Documenting treatment sessions and communications between treatment team members, completing discharges, and writing reports are identified tasks of indirect contact hours.

Core Competencies

The SBH Doctoral Psychology Interns will receive a wide range of training experiences during the course of their internship year. Through supervision, colloquia series, and on-site experiences, interns will have ample opportunities to gain competencies in sixmajor areas: (1) Professionalism(2) Relational Skills (3) Research and Science (4) Clinical Skills and (5) Systems Knowledge and (6) Training and Supervision.

Evaluation of Competencies

It is expected that Doctoral Psychology Interns will improve their competencies over the course of their training year. The Primary Supervisors and Training Director are committed to assisting interns gain competencies needed to be successful psychologists.Throughout the year through group and individual supervision, the supervisor will informally assess interns’ areas of competence and provide feedback as needed. Twice a year interns will receive a written evaluation of their competencies.A copy of this evaluation will be sent to the intern’s sponsoring graduate program.

Formal Case Presentation

Interns will prepare at least one formal case study which will be presented to the psychology training program during spring colloquium. Interns will be expected to develop a case formulation, present a video tape of a portion of a session, and discuss their interventions.

Psychology Grand Rounds Presentation

Interns will prepare and present one formal training opportunity for SBH staff. The presentation will be at least four hours in length and may be co-presented with a peer. Past presentations have included topics of cultural diversity, however the intern may present on a topic of choice as long as it is in line with a public behavioral health/integrated care philosophy. (see page 18 for past doctoral student presenters/topics)

Didactic Training

Colloquia Series

The program requires Doctoral Psychology Residents to have a minimum of 100 hours of didactic training and case presentations. Interns will earn these hours primarily through the Colloquia Series, which they must attend every Friday. The Colloquia Series expands on and complements the interns’ on-site learning experiences.The colloquia are held weekly and facilitated by the SBH Training Institute psychologists as well as psychologists from the community. Topics that will be addressed through colloquia include ethical and legal concerns, clinical skills, treatment approaches, multicultural issues, self-care, psychopharmacology, and special topics pertaining to psychologists.